1972, 02-14 Permit App: J1867 Residence0
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work =water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and -a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Address W' Ala &se' 4/4
Architect Phone Engineer Phone
Contractor -"fi Mt Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) �i/' 7 43X.f" /
a—� )---P-413-r) Pea 1.25,4,- le.e „i_ ttfdk•si Lt�or
Phone Cg/7
DESCRIPTION OF WORK: New
Size of Lot pi/ 1(
Const Dimensions t Aiy 1-2:CId r /11..4 12X29
(Frame, concrete, brick, etc.) '/
Rooms Baths / /� Basement .Z Foundation Const Ktjse f i
"`(Full, part, ndne) A
Heat. System f. l,(f Type of Roofing Ext Finish
Use of Bldg. iittt jPV fl Y
Garage or Carport Attached SA/91; C/Aapny.t-
r4--- Addition
Remodel
Moving Bldg. Zon
Sewage System
Total Sq. Ft.
«33
Chimney
Fire Zone
Stories '4 �'2._-
Valuation if,
Fireplace
(Kind) (Number)
Int. Wall Finish P.tyu'ALC
No. of Units Bedrooms �—
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road Iodations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sYs-'-
tem and water supply lines.
NORTH
I hereb certify in tionesubmitted
as shown.
--�' Owner Agent
A LAND USE OR STRUCTURE PERMIT
THIS IS NOT A PERMIT.
-�M,
4 -09
(1-/-4
State License No.
-2 ;23. OJ ere.1,
Ind. fns. Acct. No.
/6U 778
REQUIRED�
Plumbing Permit/�j9 /!/O► //
tw Heating Permit race 4d,,-- `7 h./[�
-1
Sewage Permit Arnie Ll&A
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
/y /92...-2,
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Tour street address will be S
Sewage Permit Number Issued
Remarks
Building Permit
e zone i
Receipt
i
Form 523 Bldg. Coda